IDEAS home Printed from https://ideas.repec.org/p/bdr/region/328.html

Cartera hospitalaria y diferencias regionales en la prestación de los servicios de salud en Colombia

Author

Listed:
  • Karelys Guzmán-Finol
  • Jhorland Ayala-García

Abstract

Este documento describe el estado y la evolución de la cartera de los hospitales públicos en Colombia y cómo se relaciona con algunos indicadores de la calidad en la prestación del servicio de salud a nivel regional. El análisis de la cartera de los hospitales públicos se basa en los datos del Sistema de Información Hospitalaria (SIHO), que agrupa la información reportada al Ministerio de Salud y Protección Social. Se cuenta con información para 931 hospitales. El 85% de los hospitales son de nivel I porque ofrecen servicios de complejidad baja; el 12% son de nivel II con servicios de complejidad intermedia, mientras que el 3% de los hospitales son de nivel III que brindan servicios de complejidad alta. Además, de acuerdo con información de la Encuesta Nacional de Calidad de Vida, el Registro Especial de Prestadores de Servicios de Salud, y el Registro Único Nacional del Talento Humano en Salud (ReTHUS), se presentan las diferencias regionales en algunos indicadores de infraestructura hospitalaria y calidad de los servicios de salud. Se encuentra que algunos departamentos de la Costa Caribe (como Cesar, Sucre y Atlántico) tienen la mayor disponibilidad de camas mientras que Bogotá, Valle y Antioquia la mayor disponibilidad de recurso humano. Los departamentos de las regiones Orinoquía, Pacífica y Amazonía están rezagadas en ambos factores. Finalmente, se explora la relación entre la cartera y algunos indicadores de calidad. **** ABSTRAC: This document describes the state and evolution of the public hospital portfolio in Colombia and how it relates to some quality indicators in the provision of health services at the regional level. The analysis of the public hospital portfolio is based on data from the Hospital Information System (SIHO, in Spanish), which contains the information reported to the Ministry of Health and Social Protection. We have data for 931 hospitals. 85% of hospitals are level I because they offer low complexity services; 12% are level II and offer services of intermediate complexity, while 3% are level III and offer high complexity services. In addition, according with data from the National Quality of Life Survey, the Special Registry of Health Service Providers, and the Single National Registry of Human Talent in Health (ReTHUS, in Spanish), this paper presents regional differences in some hospital infrastructure indicators, as well as in indicators of the quality of health services. We find that some departments of the Caribbean Coast (such as Cesar, Sucre and Atlántico) have the higher availability of hospital beds while Bogotá, Valle and Antioquia have the greatest availability of human resources. The departments of the Orinoquia, Pacifica and Amazon regions are lagging in both factors. Finally, the relationship between the public hospitals portfolio and some quality indicators is explored.

Suggested Citation

  • Karelys Guzmán-Finol & Jhorland Ayala-García, 2024. "Cartera hospitalaria y diferencias regionales en la prestación de los servicios de salud en Colombia," Documentos de trabajo sobre Economía Regional y Urbana 328, Banco de la Republica de Colombia.
    • Handle: RePEc:bdr:region:328
    DOI: 10.32468/dtseru.328
    as

    Download full text from publisher

    File URL: https://doi.org/10.32468/dtseru.328
    Download Restriction: no
    File URL: https://libkey.io/10.32468/dtseru.328?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Dean D Akinleye & Louise-Anne McNutt & Victoria Lazariu & Colleen C McLaughlin, 2019. "Correlation between hospital finances and quality and safety of patient care," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-19, August.
    2. Gloria J. Bazzoli & Hsueh‐Fen Chen & Mei Zhao & Richard C. Lindrooth, 2008. "Hospital financial condition and the quality of patient care," Health Economics, John Wiley & Sons, Ltd., vol. 17(8), pages 977-995, August.
    3. Jhorland Ayala García, 2015. "El acceso a la consulta médica general en Colombia," Revista Economía y Región, Universidad Tecnológica de Bolívar, vol. 9(1), pages 175-207.
    4. Ligia Alba Melo-Becerra & Luis E. Arango & Oscar Iván Ávila-Montealegre & Jhorland Ayala-García & Leonardo Bonilla-Mejía & Jesús Alonso Botero-García & Carolina Crispin-Fory & Manuela Cardona & Daniel, 2023. "Aspectos financieros y fiscales del sistema de salud en Colombia," Revista ESPE - Ensayos sobre Política Económica, Banco de la Republica de Colombia, issue 106, pages 1-92, October.
    5. Soo Young Kim, 2018. "Predicting hospitality financial distress with ensemble models: the case of US hotels, restaurants, and amusement and recreation," Service Business, Springer;Pan-Pacific Business Association, vol. 12(3), pages 483-503, September.
    6. Larissa Batrancea, 2021. "The Influence of Liquidity and Solvency on Performance within the Healthcare Industry: Evidence from Publicly Listed Companies," Mathematics, MDPI, vol. 9(18), pages 1-15, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Alice Giese & Rasheda Khanam & Son Nghiem & Thomas Rosemann & Michael M. Havranek, 2024. "Patient-reported experience is associated with higher future revenue and lower costs of hospitals," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(6), pages 1031-1039, August.
    2. Richard Gearhart & Nyakundi Michieka, 2020. "A non-parametric investigation of supply side factors and healthcare efficiency in the U.S," Journal of Productivity Analysis, Springer, vol. 54(1), pages 59-74, August.
    3. Cyril Chang & Jennifer Troyer, 2009. "The impact of TennCare on hospital efficiency," Health Care Management Science, Springer, vol. 12(3), pages 201-216, September.
    4. Rafael Becerra-Vicario & David Alaminos & Eva Aranda & Manuel A. Fernández-Gámez, 2020. "Deep Recurrent Convolutional Neural Network for Bankruptcy Prediction: A Case of the Restaurant Industry," Sustainability, MDPI, vol. 12(12), pages 1-15, June.
    5. José Manuel Maside-Sanfiz & María-Celia López-Penabad & Ana Iglesias-Casal & Juan Torrelles Manent, 2024. "Determinants of the profitability of Sheltered Workshops: efficiency and effects of the COVID-19 crisis," Humanities and Social Sciences Communications, Palgrave Macmillan, vol. 11(1), pages 1-15, December.
    6. Juraini Zainol Abidin & Nur Adiana Hiau Abdullah & Karren Lee-Hwei Khaw, 2020. "Predicting SMEs Failure: Logistic Regression vs Artificial Neural Network Models," Capital Markets Review, Malaysian Finance Association, vol. 28(2), pages 29-41.
    7. Hauck, Katharina & Zhao, Xueyan & Jackson, Terri, 2012. "Adverse event rates as measures of hospital performance," Health Policy, Elsevier, vol. 104(2), pages 146-154.
    8. Qin, Meng & Su, Ai-Hsuan & Li, Ruifeng & Su, Chi-Wei, 2024. "Speculation, climate or pandemic: Who drives the Chinese herbal medicine bubbles?," China Economic Review, Elsevier, vol. 87(C).
    9. Chermezan Leontina & Batrancea Larissa, 2025. "Empirical Study On The Solvency Of Small And Mediumsized Enterprises In Romania," Annals - Economy Series, Constantin Brancusi University, Faculty of Economics, vol. 1, pages 253-259, February.
    10. Katarzyna Dubas-Jakóbczyk & Anna Kozieł, 2020. "Towards Financial Sustainability of the Hospital Sector in Poland—A Post Hoc Evaluation of Policy Approaches," Sustainability, MDPI, vol. 12(12), pages 1-19, June.
    11. Peter Brusov & Tatiana Filatova & Natali Orekhova, 2023. "Influence of Method and Frequency of Profit Tax Payments on Company Financial Indicators," Springer Books, in: The Brusov–Filatova–Orekhova Theory of Capital Structure, chapter 0, pages 241-264, Springer.
    12. Seongbae Lim & Sung Tae Kim, 2023. "The relationship between entrepreneurial orientation and success of foodservice business: effects of religion," Service Business, Springer;Pan-Pacific Business Association, vol. 17(1), pages 429-448, March.
    13. Dean D Akinleye & Louise-Anne McNutt & Victoria Lazariu & Colleen C McLaughlin, 2019. "Correlation between hospital finances and quality and safety of patient care," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-19, August.
    14. Rafal Siedlecki & Pawel Predkiewicz & Agnieszka Bem & Aleksandra Szpulak, 2021. "Working Capital Management in Hospitals: Evidence from Poland," European Research Studies Journal, European Research Studies Journal, vol. 0(Special 1), pages 836-850.
    15. Sara Jamalabadi & Vera Winter & Jonas Schreyögg, 2020. "A Systematic Review of the Association Between Hospital Cost/price and the Quality of Care," Applied Health Economics and Health Policy, Springer, vol. 18(5), pages 625-639, October.
    16. Jingjing Liu & Jing Wang & Tianlin Zhai & Zehui Li, 2022. "The Response of Ecologically Functional Land to Changes in Urban Economic Growth and Transportation Construction in China," IJERPH, MDPI, vol. 19(21), pages 1-17, November.
    17. Samuka Mohanty & Rajashree Dash, 2023. "A New Dual Normalization for Enhancing the Bitcoin Pricing Capability of an Optimized Low Complexity Neural Net with TOPSIS Evaluation," Mathematics, MDPI, vol. 11(5), pages 1-28, February.
    18. Espinosa, Oscar & Friebel, Rocco & Bejarano, Valeria & Arias, Martha Liliana & Husereau, Don & Smith, Adrian, 2024. "Study on the concentration, distribution, and persistence of health spending for the contributory scheme in Colombia," LSE Research Online Documents on Economics 125891, London School of Economics and Political Science, LSE Library.
    19. Daniel F. McCaffrey & J. R. Lockwood & Kata Mihaly & Tim R. Sass, 2012. "A review of Stata commands for fixed-effects estimation in normal linear models," Stata Journal, StataCorp LLC, vol. 12(3), pages 406-432, September.
    20. Dominika Gajdosikova & Katarina Valaskova & Tomas Kliestik & Veronika Machova, 2022. "COVID-19 Pandemic and Its Impact on Challenges in the Construction Sector: A Case Study of Slovak Enterprises," Mathematics, MDPI, vol. 10(17), pages 1-20, September.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;
    ;
    ;

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • R1 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General Regional Economics

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bdr:region:328. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Clorith Angélica Bahos Olivera (email available below). General contact details of provider: https://edirc.repec.org/data/brcgvco.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.